Dawn Santos

Quality Assurance Analyst @Rhode Island Medical Imaging

Coventry, RI, US

EMAILS

d••••••@rimirad.com

MOBILE NUMBERS

+16•••••••15

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WORK HISTORY

Dec 2025 — Present

Quality Assurance Analyst @Rhode Island Medical Imaging

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EDUCATION

N/A

University of Rhode Island - College of Business

Bachelor of Science - BS, Marketing

SKILLS

Data AnalysisCrystal ReportsHipaaOutlookHealthcareTroubleshootingMicrosoft OfficeQuality AssuranceX12Vendor ManagementSystem AdministrationLeadershipSystems AnalysisMedicareRequirements GatheringInsuranceLotus NotesAccessHealthcare IndustryProject ManagementBusiness AnalysisBusiness IntelligenceHealthcare Information TechnologyCall CenterProcess ImprovementRequirements AnalysisDatabasesTeam BuildingCustomer ServiceCobolHealth InsuranceManaged CareClaimAnalysisMedicaidVisioQuality CenterDisaster RecoveryWindowsDb2

ABOUT DAWN SANTOS

Sterling Connect Enterprise, Sterling File Gateway,ITX/ITXa (formerly WTX) software* Testing, Setup & Problem Resolution for Paperless Providers with EDI formats (HIPAA x12 - 837 Institutional, 837 Professional, 837 Dental, 270/271 Eligibility Requests, 276/277 Claims Status Requests, 835 Remittance, 834 Group Enrollment/changes and 278 Authorizations, 277 CA Unsolicited Claims status)*34 years Healthcare Payer EDI Operations Blue Cross Blue Shield, Support of all EDI Trading Partners/ Testing/ Setup/Production Support* EDI SME for troubleshooting batch & realtime transactions, opening Incidents and Change Requests * Mentoring new staff and team mates on problem resolution* Excellent communication skills with internal and external vendors* Blue Exchange, Federal Employee Program, Interplan processing

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